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Credit Application

Please download and print our Credit Application or fill out the form below.


Credit Application

Please fill out the information below and return it as soon as possible in order for us to have complete and accurate information in your file. Thank you for taking the time to help us serve you better.
  • Customer Information

  • NOTE: If your tax status is other than taxable, please include a tax exempt form below.
  • Credit References

  • Terms of Sale

    The undersigned agrees that payment terms are as follows and the above information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize the firm to who this application is made to investigate the references listed pertaining to My/Our credit and financial responsibility. Payment on account is due in full within THIRTY (30) DAYS of the date of invoice. A finance charge of 1.5% per month (18% per annum simple) is charged to balances 30 DAYS OR MORE PAST DUE. Failure to comply with said terms will result in immediate termination of credit and C.O.D. status without notice. Furthermore, the undersigned agrees to pay all cost involved in collection, including attorney’s fees, should legal action be required to enforce this agreement. I have read the above terms and conditions of credit. I understand them and agree to comply with them. My signature attests to the financial ability to pay all charges incurred on account. PERSONAL GUARANTEE: I sign this credit application on behalf of Applicant and as an individual personally guarantee payment of all present and future indebtedness of applicant to Gaftek, LLC.